At least nine Palestinians were killed, including a 60-year-old woman, and 20 others wounded during an Israeli military raid in the occupied West Bank's Jenin on Thursday, Palestinian health officials said.

The Palestinian Health Ministry accused Israeli forces of deliberately firing tear gas inside a hospital's pediatric ward, leaving children choking – a claim denied by an army spokesman who added that gas may have drifted into the clinic through a window.

The bloodiest day in the West Bank in years erupted during a raid on the crowded refugee camp in the northern city of Jenin, where gunshots rang through the streets and smoke billowed from burning street barricades.

The Palestinian health ministry said the death toll from the clashes rose to "nine martyrs" including a woman, and that 20 people were wounded before the Israeli forces withdrew mid-morning.

The military said Israeli forces came under fire during a so-called "counterterrorism operation to apprehend an Islamic Jihad terror squad," whose members they blamed for past attacks, and that they had shot several enemy combatants.

Since its records began in 2005, the United Nations has never recorded such a high death toll in a single operation in the West Bank.

Palestinian Health Minister Mai al-Kaila charged that "occupation forces stormed Jenin Government Hospital and intentionally fired tear gas canisters at the pediatric department in the hospital."

Israel's army denied the forces entered the hospital. "But the activity was not far away from the hospital and it is possible some tear gar entered through an open window," a spokesman told AFP.

Situation 'critical'

The health minister described the situation in the crowded refugee camp as "critical" and said Israeli forces were for some time preventing ambulances from reaching the wounded.

Jenin deputy governor Kamal Abu al-Rub told AFP that residents were living in a "real state of war" and charged that "the Israeli army is destroying everything and shooting at everything that moves."

The military said the incursion targeted Palestinians from the Islamic Jihad armed group who were allegedly behind attacks on Israeli soldiers and civilians.

Three Palestinians were shot in a firefight, while Israeli forces shot a further two "fleeing the scene", an army statement said. Israeli forces also shot a sixth suspect inside a building, and other Palestinians were hit after firing on troops, the army said.

"Claims regarding additional casualties during the exchange of fire are being looked into," it added.

No members of the Israeli forces were wounded, the military said.

A spokesman for the group Tariq Salmi vowed that "the resistance is everywhere and ready and willing for the next confrontation."

An AFP photographer saw young Palestinians throwing rocks at Israeli military vehicles before the forces withdrew from Jenin.

Saleh al-Arouri, deputy leader of the Palestinian armed group Hamas, which rules Gaza, vowed that Israel "will pay the price for the Jenin massacre".

"Our resistance will not break, and our response will come soon."

'International silence'

Israeli Prime Minister Benjamin Netanyahu was due to hold a security assessment later Thursday, his office said.

The Arab League held "the Israeli government led by Netanyahu fully responsible for committing the horrific bloody massacre" and called for international action.

U.N. peace envoy Tor Wennesland said he was "deeply alarmed and saddened by the continuing cycle of violence in the occupied West Bank."

"The deaths today of nine Palestinians, including militants and one woman, during an Israeli arrest operation in Jenin is another stark example," he said in a statement.

Thousands flocked to funerals in Jenin, as the Palestinian presidency announced three days of official mourning and charged that Thursday's raid on Jenin was happening "under international silence."

"This is what encourages the occupation government to commit massacres against our people in full view of the world," said Nabil Abu Rudeinah, spokesman for Palestinian president Mahmud Abbas.

The Palestinian health minister called for an urgent meeting with the World Health Organization (WHO) and the International Committee of the Red Cross over the events in Jenin.

29 and counting

Thursday's violence brings the number of Palestinians killed this year to 29. Nearly 150 Palestinians were killed last year, making 2022 the deadliest since 2004, according to the Israeli rights group B'Tselem.

According to AFP figures, at least 26 Israelis and 200 Palestinians were killed across Israel and the Palestinian territories last year.

The Palestinian envoy in Ankara on Jan. 17 put the death toll for Palestinians at 230, making last year the deadliest in seven years.

The majority of the fatalities were in the West Bank, while 49 Palestinians were killed in a three-day conflict in Gaza.

Israel says most of the dead were militants. But youths protesting the incursions and others not involved in the confrontations have also been killed.

Israel says the raids are meant to dismantle militant networks and thwart future attacks. The Palestinians say they further entrench Israel's 55-year, open-ended occupation of lands they seek for their future state.

Israel captured the West Bank, east Jerusalem and the Gaza Strip in the 1967 Mideast war, territories the Palestinians claim for their hoped-for state.